Country government

Tanzania

Nutrition for Growth (N4G) commitment

Reported progress

Assessment

Financial commitments
New commitment - added in 2016

1. A total of 147 billion Tanzania shillings committed for nutrition interventions at all levels

2. Allocate a minimum budget for nutrition interventions in the plans and budget of regions and all local government authorities (municipal and district councils), calculated based on the number of children under 5 years in each council. Each child will be allocated TZS 500 (~ USD 0.23) in financial year 2016/17 and this amount will be gradually increased.

Reported progress

2. The Government through the President's Office, Regional Administration and Local Government Tanzania (PO-RALG) issued a directive to councils to develop their annual budget based on the number of children under 5 years in the respective council. For financial year 2019/20, the councils were required to allocate Tshs 1,000 per child under 5 years in their annual budget (domestic resources) to cater for nutrition-specific interventions; and the Government through PO-RALG signed a Nutrition Compact, which puts stress on execution of allocated funds, among other indicators. The compact has been cascaded to the ward and village levels.

Assessment
Reached commitment
Basis of assessment

Reported progress shows that the minimum budget has been implemented and increased

Impact commitments
London 2013

1. Reducing prevalence of stunting by 15% by 2015.

2. Reducing wasting below 5% by 2015.

3. Increase exclusive breastfeeding from 50% to 60% by 2015.

4. Reduce prevalence of anaemia among pregnant women from 48% to 35% by 2015.

Reported progress

1. The prevalence of stunting reduced from 42% (Tanzania Demographic and Health Survey (TDHS) 2010) to 34% (TDHS 2016).

According to the 2018 Tanzania National Nutrition Survey, using SMART (specific, measurable, achievable, realistic, timely) methodology there was a further reduction to 31.8%.

2. Prevalence of wasting was reduced from 8% in 1992 to 5% in 2015 (TDHS, 2016).

The 2018 Tanzania National Nutrition Survey shows a further reduction to 3.5%.

3. The proportion of children aged 0 to 5 months receiving exclusive breastfeeding increased from 29% (TDHS 1996) to 59% (TDHS 2016).

According to the 2018 Tanzania National Nutrition Survey, the rate of exclusive breastfeeding currently stands at 57.8%.

4. The prevalence of anemia among women of reproductive age was reduced from 48% in 2005. According to the 2018 Tanzania National Nutrition Survey, the prevalence of anemia further reduced to 28%.

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

Policy commitments
New commitment - added in 2015

Revise the National Food and Nutrition Policy and prepare a 10-year implementation strategy (2015/2016–2025/2026). Include nutrition in sector specific strategies or plans.

Reported progress

The National Food and Nutrition Policy of 1992 has been revised and submitted to the Ministry of Health, Community Development, Gender, Elderly and Children for review.

Assessment
Reached commitment
Basis of assessment

Reported progress in previous Global Nutrition Reports indicates that commitment has been achieved.

London 2013

Carry out a Public Expenditure Review on nutrition.

Reported progress

The Nutrition Public Expenditure Review 2014-2016 (PER) was conducted to review the allocation and expenditures for nutrition interventions. The report was completed in October 2018. Multiple stakeholders were involved to provide technical and financial support in planning, data collection, and analysis. The exercise was coordinated by the Ministry of Planning and Finance in collaboration with Oxford Policy Management.

Assessment
Reached commitment
Basis of assessment

Reported progress in previous Global Nutrition Reports indicates that commitment has been achieved.

Program commitments
New commitment - added in 2015

Increase awareness on nutrition at all levels, rolling out nutrition interventions and resource mobilization. Monitoring meetings for focal ministries are conducted by the Nutrition Secretariat every two months. Nutrition steering committee which consists of Secretaries of the ministries and District secretaries were conducted to brief the activities. It will be conducted every 3 months.

Reported progress

In the reporting period, the country has: conducted the 6th Joint Multisectoral Nutrition Review meeting to track progress towards result and budget execution of the implementation of nutrition interventions in the country; convened an adolescent meeting to raise awareness on issues around adolescent nutrition in Tanzania, and set priorities in that regard; and conducted the mid-term review of the implementation of the National Multisectoral Nutrition Action Plan (NMNAP) 2016-2021. The review jointly assessed progress, opportunities, challenges, and strategies to ensure NMNAP targets are realized by 2021. The review report was launched and disseminated; continues to monitor implementation of nutrition interventions through bi-annual and annual bottleneck analysis (BNA) and Multisectoral Nutrition Scorecards; develops the Multisectoral Nutrition Information System (MNIS) in the District Health Information System (DHIS2) to harmonize data from other DHIS2 systems in the country (the system is in the final stage for deployment); strengthens coordination of the implementation of the NMNAP through regular thematic meetings as aligned in the NMNAP; continues to strengthen multisectoral coordination through High Level Steering Committee for Nutrition meetings and Regional/Council Steering Committees for Nutrition quarterly meetings; and initiates the process of NMNAP II development and its Resource Mobilization Strategy.

Assessment
On course
Basis of assessment

Reported progress shows that awareness building and monitoring is ongoing